Individual
MR. PETER YANG GAW GO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
3406 BLUEFIELD PLACE, FORT WAYNE, IN 46818
(260) 312-4885
Mailing address
3406 BLUEFIELD PLACE, FORT WAYNE, IN 46818
(260) 312-4885
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IN
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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